Breast Reconstruction by Tram Flap Cases

This case shows how thin women are still candidates for TRAM flap breast reconstruction. This woman presented with right breast cancer and was originally told she was not a candidate for TRAM flap reconstruction.

Proper proportion of available tissue is the key deciding factor in patient selection. She had a full A/small B cup breast and an equal amount available from her abdomen. A successful reconstruction.

Top Row: Before mastectomy

Center Row: After mastectomy and TRAM flap

Bottom Row: After final stage of reconstruction, and a nice, symmetric outcome.

Case Study Categories: Breast Reconstruction by Tram Flap.

In TRAM flap surgery, the abdominal skin and fat (together with the rectus muscle for blood supply) are used to reconstruct the breast after a mastectomy. Skin incisions usually adhere to oncologic principles, which commonly lead to the removal of skin near the biopsy sites, nipple, and areola, along with all the breast tissue.

From top to bottom: Post-op photos demonstrate how TRAM flap can make a breast nearly a mirror image to the existing unaffected breast.

An outstanding aesthetic outcome in total breast reconstruction.

Case Study Categories: Breast Reconstruction by Tram Flap.